GUIDE FOR ULTRASOUND THYROID AND TI-RAD'S SCORING WITH IMAGE

GUIDE FOR  ULTRASOUND  THYROID AND TI-RAD'S SCORING

-use the image as guide with the calculator

COMPOSITION 

ECHOGENICITY

SHAPE

MARGIN

ECHOGENICITY FOCI

CLICK HERE TO CALCULATE

Soto's TI-RADS+ Calculator by Dr.Lakdhesz.

Soto's TI-RADS Scoring Calculator

Composition Cystic or almost completely cystic - 0 pts Spongiform - 0 pts Mixed cystic and solid - 1 pt Solid or almost completely solid - 2 pts Echogenicity Anechoic - 0 pts Isoechoic or hyperechoic - 1 pt Hypoechoic - 2 pts Very hypoechoic - 3 pts Shape Wider-than-tall - 0 pts Taller-than-wide - 3 pts Margins Smooth - 0 pts Ill-defined - 0 pts Lobulated or irregular - 2 pts Extra-thyroidal extension - 3 pts Echogenic Foci None or comet-tail - 0 pts Macrocalcifications - 1 pt Peripheral (rim) calcifications - 2 pts Punctate echogenic foci - 3 pts Nodule Size (cm)

Total Points: -

TI-RADS Category: -

Recommendation: -

Suggested Follow-Up: -

Note: This calculator follows ACR TI-RADS 2017 and Soto's TI-RADS+ scoring rules. - TR5: Highly suspicious — consider FNA ≥1.0 cm, follow-up at 1 year if smaller. - TR4: Moderately suspicious — consider FNA ≥1.5 cm, follow-up at 1, 2, 3, and 5 years if smaller. - TR3: Mildly suspicious — consider FNA ≥2.5 cm, follow-up at 1, 3, and 5 years. - TR2 & TR1: No routine FNA, repeat ultrasound only if clinical concern arises.

DIET PLAN

🍴 Smart Diet Plan Generator© 2025 by DrLakdhesz.

Gender: Male Female
Bodyweight (kg):
Goal: Cut Fat Bulking Muscle Building Sedentary (Survival)

Meals per Day: 3 4 5 6
Cuisine Preference: Mixed Variety Asian / Malay Indian Chinese Western Healthy Focus Survive

Workout Planner by Dr.Lakdhesz

Workout Planner — Gym & Home by Dr.Lakdhesz

Choose your goal, location, experience and days/week. Program cycles every 2 weeks with varied exercises and progressions.

Goal Muscle gain (hypertrophy) Fat loss (conditioning + strength) General fitness (mixed) Location Gym Home (minimal equipment) Experience Beginner Intermediate Advanced

Days per week 3456 Weeks (program length) 4812 Include equipment links? No Yes — show Shopee link placeholders

Preferred start day MondayTuesdayWednesdayThursdayFridaySaturdaySunday Optional equipment ( separated for Home)

Write equipment names to favor exercises using them.

Tip: For muscle gain pick 4–6 days with progressive overload; for fat loss include 2 HIIT/cardio sessions weekly. Swap exercises as needed. Replace exercise Shopee links with your affiliate codes.

Kids Growth Percentile Calculator (KKM/WHO) by Dr.Lakdhesz

Child Growth Percentile Calculator (WHO)

Gender: --Select-- Male Female

Age (months):

Weight (kg):

Height (cm):

Result:

BMI Calculator by Dr.Lakdhesz

BMI Calculator

Gender: --Select-- Male Female Age (years): Weight (kg): Height (cm):

Daily Calories & Macros Calculator by Dr Lakdhesz

Daily Calories & Macros Calculator © 2025 by Dr Lakdhesz

Estimates: Mifflin–St Jeor BMR → activity multiplier (TDEE). Macros use evidence-based protein per-kg guidance and AMDR-inspired carbs/fat splits tuned to goal.

Sex Male Female

Age (years)

Weight (kg)

Height (cm)

Activity level Sedentary (little/no exercise) Light (1–3 days/wk) Moderate (3–5 days/wk) Very active (6–7 days/wk) Extra active (very heavy training)

Goal Maintenance Build muscle (strength hypertrophy) Recomposition (gain muscle, lose fat) Cut — moderate (15% deficit) Cut — aggressive (25% deficit) Bulk — moderate (10% surplus) Bulk — aggressive (20% surplus)

Meals per day (for per-meal protein suggestions) 3456

Optional: Kidney function (eGFR ml/min/1.73m²) Known liver disease (use conservative protein guidance)

Summary of assumptions:

• BMR = Mifflin–St Jeor; TDEE = BMR × activity factor.
• Protein targets use g/kg/day per goal (see result). Protein = 4 kcal/g.
• Fats set by goal as % of total kcal (20–35% AMDR baseline, tuned to goal); remaining calories → carbs (4 kcal/g).
• Kidney / liver checks alter protein guidance conservatively — always consult a clinician/dietitian for medical conditions.

Notes

Protein guidance: maintenance ~0.8–1.0 g/kg; muscle building ~1.6–2.0 g/kg; cutting higher protein (1.6–2.4 g/kg) to preserve lean mass; dialysis/CKD/liver adjustments require specialist care.

Protein Requirement Calculator For Healthy/ CKD/Liver Disease by Dr.Lakdhesz

Protein Requirement Calculator For CKD/Liver Disease

Estimates use kg and g/kg guidelines by © 2025 by Dr Lakdhesz. Not a prescription — seek clinician advice if you have medical conditions.

Age (years)

Body weight (kg)

Height (optional, cm)

Primary goal Maintenance / General health Build muscle (strength training) Reduce body fat (in calorie deficit) Bulking / maximize muscle + surplus Kidney function (eGFR ml/min/1.73m²) On dialysis / end-stage kidney disease (check if yes) Known liver disease (cirrhosis, hepatic encephalopathy, etc.)

Quick notes:

• RDA for healthy sedentary adults ≈ 0.8 g/kg/day (baseline).

• For muscle-building most evidence supports ~1.6 g/kg/day (range ~1.2–2.2 g/kg depending on intensity/age).

• In CKD, protein intake often needs individualization; advanced CKD may require lower targets or specialist advice. Dialysis patients typically need higher protein intake due to losses.

Main guideline sources for logic: JISSN/consensus on protein for athletes and hypertrophy; KDIGO/KDOQI and KDOQI nutrition guidance for CKD; ESPEN/ACG guidance for liver disease. (See below for citations.)

References

1) Int Sports Nutrition / JISSN & meta-analyses on protein for hypertrophy and 1.6 g/kg target.
2) KDOQI/KDIGO guidance for CKD and dialysis (protein 0.6–0.8 g/kg in some advanced CKD; ≥1.2 g/kg for dialysis).
3) ESPEN/ACG guidance: do not routinely restrict protein for liver disease/hepatic encephalopathy; often 1.2–1.5 g/kg/day is recommended.

Neonate Feeding Calculator by Dr Lakdhesz

Neonate Feeding Calculator

Enter birth type, day-of-life and baby weight to calculate feeding volumes & fluid type by © 2025 by Dr Lakdhesz. Educational support only — confirm with local guidelines.

Birth type

Term newborn Preterm newborn

Day of life (enter days)

Weight (kg)

Feeding interval Every 2 hours Every 3 hours Every 4 hours Every 6 hours 8 times/day

Decimal places (per feed) Round cc 1 decimal 2 decimals

Clinic Medication Stock

Track daily usage and remaining stock. Data auto-saves in browser.© 2025 by Dr Lakdhesz

Medicine Name	Total	Used Today	Remaining	Action

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TeleConnect by Dr.Lakdhesz

WhatsApp Follow-Up Message (GP Clinic) © 2025 by Dr Lakdhesz

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Patient & Clinic Details

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